Larequi A, Jiménez C, Aizcorbe M, Almudévar E, Iglesias R, Metola L, Mendoza H
Servicio de Cirugía General, Hospital Virgen del Camino, Pamplona.
Rev Clin Esp. 1995 Dec;195(12):836-40.
We present 53 cases of gastrointestinal smooth tumors (43 leiomyomas and 10 leiomyosarcomas) which have being diagnosed in Virgen del Camino Hospital during a period of 17 years. The aim of the research is to know the incidence of such tumors, their clinical presentation, the usefulness of radiologic and endoscopic studies for their diagnosis, as soon as to make a bibliographic revision of new diagnostic and therapeutic methods. This kind of tumor had an incidence of 3.1 cases per year. The symptomatology because of which the patients consulted depended on the location and the size of the tumors, though 18% of the cases were asymptomatic and were found in surgical operations. Endoscopic biopsy had a diagnostic sensibility of 28%; it didn't obstruct later exeresis. It has to be emphasized that, according to our bibliographic revision, there is a growing importance of endoscopic echography, not only as for diagnosis, but also as for non surgical treatment of this kind of tumor. Endoscopic resection can be a valid alternative for exeresis of small tumors (less than 2 cm according to some authors); haemorrhage is the most frequent complication, though it can be easily controlled.
我们呈现了53例胃肠道平滑肌瘤（43例平滑肌瘤和10例平滑肌肉瘤），这些病例是在17年期间于维根德尔卡米诺医院确诊的。本研究的目的是了解此类肿瘤的发病率、临床表现、放射学和内镜检查对其诊断的实用性，并对新的诊断和治疗方法进行文献综述。这类肿瘤的发病率为每年3.1例。患者就诊的症状取决于肿瘤的位置和大小，不过18%的病例无症状，是在手术中发现的。内镜活检的诊断敏感性为28%；它并未妨碍后续的切除手术。必须强调的是，根据我们的文献综述，内镜超声不仅在诊断方面，而且在这类肿瘤的非手术治疗方面的重要性日益增加。内镜切除对于小肿瘤（根据一些作者的观点，小于2厘米）的切除可能是一种有效的替代方法；出血是最常见的并发症，不过很容易控制。
